Active NPI
Samantha M Hill, FNP-C
- Family Nurse Practitioner
- Granger, IN
National Provider Identifier
1821875972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71014508A
- Practice address
- 6910 N Main St Unit 52
Granger, IN 46530-8412 - Phone
- (574) 231-6766
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014508A | IN | Primary |
Addresses
Primary practice location
6910 N Main St Unit 52
Granger, IN 46530-8412
Mailing address
52021 Cloverleaf Dr W
South Bend, IN 46637-6034
Phone (574) 274-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014508A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truhealth, LLC | Current | Accepting new patients |
Locations
445 S County Road 525 E
Avon, IN 46123
Phone (317) 745-1390
7519 Winchester Rd
Fort Wayne, IN 46819
Phone (260) 747-1101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697932800000",
"number": "1821875972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52021 CLOVERLEAF DR W",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466376034",
"telephone_number": "574-274-5173",
"fax_number": "833-249-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6910 N MAIN ST UNIT 52",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308412",
"telephone_number": "574-231-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SAMANTHA",
"middle_name": "M",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-12",
"last_updated": "2023-10-22",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71014508A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.